<?php echo $header; ?>


		  <!-- Start - Left Side -->
	      <div id="left" class="span-24 ">
	      <div id="contact_us_tempalte" class="span-24 checkout">
	      	
	      	<div class="heading_x span-24">
					<span><?php echo $heading_title; ?></span><hr />
			</div>
			&nbsp;
	         <form action="<?php echo str_replace('&', '&amp;', $action); ?>" method="post" enctype="multipart/form-data" id="contact">
      <div class="content">
        <div style="display: inline-block; width: 100%;">
          <div style="float: left; display: inline-block; width: 50%;font-weight:normal;"><b><?php echo $text_address; ?></b><br />
            <?php echo $store; ?><br />
            <?php echo $address; ?></div>
          <div style="float: right; display: inline-block; width: 50%; font-weight:normal;">
            <?php if ($telephone) { ?>
            <b><?php echo $text_telephone; ?></b><br />
            <?php echo $telephone; ?>
            <br />
            <?php } ?>
            <?php if ($fax) { ?>
            <b><?php echo $text_fax; ?></b>
            <?php echo $fax; ?>
            <?php } ?>
            <?php if ($store_email) { ?>
            <b><?php echo $text_email; ?></b><br />
            <?php echo $store_email; ?><br />
            <br />
            <?php } ?>
            
          </div>
        </div>
      </div>
      <div class="content">
        <table width="100%">
          <tr>
            <td><?php echo $entry_name; ?><br />
              <input type="text" name="name" value="<?php echo $name; ?>" />
              <?php if ($error_name) { ?>
              <span class="error"><?php echo $error_name; ?></span>
              <?php } ?></td>
          </tr>
          <tr>
            <td><?php echo $entry_email; ?><br />
              <input type="text" name="email" value="<?php echo $email; ?>" />
              <?php if ($error_email) { ?>
              <span class="error"><?php echo $error_email; ?></span>
              <?php } ?></td>
          </tr>
          <tr>
            <td><?php echo $entry_enquiry; ?><br />
              <textarea name="enquiry" style="width: 99%;" rows="10"><?php echo $enquiry; ?></textarea>
              <?php if ($error_enquiry) { ?>
              <span class="error"><?php echo $error_enquiry; ?></span>
              <?php } ?></td>
          </tr>
          <tr>
            <td><?php echo $entry_captcha; ?><br />
              <input type="text" name="captcha" value="<?php echo $captcha; ?>" autocomplete="off" />
              <?php if ($error_captcha) { ?>
              <span class="error"><?php echo $error_captcha; ?></span>
              <?php } ?>
              <br />
              <img src="index.php?route=information/contact/captcha" /></td>
          </tr>
        </table>
      </div>
      <div class="buttons">
      	<div class="galib_btn1 float_right">
            		<a onclick="$('#contact').submit();" ><span><?php echo $btn_send; ?></span></a>
        </div>
      	<div style="clear:both;"></div>
      </div>
    </form>
	      </div>
	      </div>
       	 <!-- End - Left Side -->
       	 
       	 

<?php echo $footer; ?> 



